MEDICARE: DR. SARAI SIENIE CHUECOS ESCALANTE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME180277	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1114622008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAI SIENIE CHUECOS ESCALANTE MD

Provider Business Mailing Address
First Line	:	8913 WALTHAM WOODS RD APT C
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-2452
Country	:	US
Telephone Number	:	786-344-7760
Fax Number	:

Provider Business Practice Location Address
First Line	:	11225 MIRAMAR PKWY STE 210
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-1965
Country	:	US
Telephone Number	:	954-202-0647
Fax Number	:	954-337-6116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	06/02/2026

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